SDET Engineer – Provider Data Management (Healthcare Domain)

Hiring Now: SDET Engineer – Provider Data Management (Healthcare Domain)

Locations: Bangalore | Chennai | Hyderabad | Pune | Vadodara
Work Mode: Hybrid (2-3 Days Work from Office)
Shift Timing: 2:00 PM – 11:00 PM IST
Experience Required: 8+ Years
Open Positions: 1
Notice Period: Immediate Joiners or Candidates Serving Notice Period (Must Join by 15th July)

Join a High-Impact Healthcare Transformation Program!

We are seeking an experienced SDET Engineer – Provider Data Management with strong expertise in Facets, Healthcare EDI Transactions, Provider Data Validation, SQL, and Test Automation. The ideal candidate will play a critical role in ensuring provider directory accuracy, credentialing workflows, eligibility validation, prior authorization processing, and provider payment reconciliation across multiple Lines of Business (LOBs).

Key Skills Required

Facets (Mandatory)
Provider, Contract & Network Module Testing
X12 EDI Transactions:

• 278 (Prior Authorization)
• 270/271 (Eligibility & Benefits Inquiry/Response)
• 835 (Remittance Advice)

Provider Data Validation (NPI, TIN, Taxonomy Codes)
SQL Data Validation & Reconciliation
TOSCA Automation Testing
Azure DevOps (ADO)
Healthcare Payer Domain Expertise

Healthcare Domain Experience Required

Medicaid
Medicare Advantage (MA)
Duals / MMP
TRICARE
Marketplace Plans

Core Functional Expertise

Provider Data Management

NPI Validation
TIN Validation
Taxonomy Code Validation
Provider Specialty Validation
Address & Demographic Verification
Network Status Validation

Provider Lifecycle Testing

Provider Enrollment
Credentialing Workflows
New Provider Onboarding
Provider Updates & Changes
Provider Terminations
Provider Reactivations

Provider Directory Accuracy

Network Tier Validation
Plan-Level Provider Validation
Accepting New Patients Indicators
Directory Compliance Testing

Claims & Payment Validation

835 Remittance Processing
Provider Payment Reconciliation
Claims-to-Provider Cross Validation

Key Responsibilities

Design and execute provider data management, credentialing, and directory accuracy test scenarios

Validate provider enrollment, credentialing, and lifecycle workflows

Test and automate X12 EDI transactions:

• 278 Prior Authorization
• 270/271 Eligibility & Benefits
• 835 Remittance Processing

Build and maintain robust automation frameworks using TOSCA

Perform provider data cross-validation using SQL across:

• Provider Master Data
• Claims Systems
• Eligibility Platforms
• Provider Directories

Validate provider payment linkage and support feature-level triage activities

Lead offshore provider testing initiatives across multiple Lines of Business

Conduct Root Cause Analysis (RCA) for:

• Directory Accuracy Issues
• Network Status Discrepancies
• Authorization Failures
• Credentialing Defects

Drive automation coverage, quality improvements, and mentor junior QA analysts

Why Join?

Work on enterprise-scale Healthcare Provider Management systems
Exposure to Medicaid, Medicare Advantage, Duals, TRICARE & Marketplace programs
Opportunity to lead automation and quality engineering initiatives
Collaborative global team environment
Hybrid work model with long-term growth opportunities

Interested candidates can share their updated resume at:

Email: Maqsood@Jobskey.com
WhatsApp: +91 7013663419

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